Bladder Removal Surgery if You Had a Choice Would You Do It Again

May 08, 2022 Post a Comment

Cystectomy

Cystectomy is the full or partial surgical removal of the bladder. It is near oft used to treat invasive bladder cancer.

Overview

What is cystectomy?

Cystectomy is a complex surgical procedure in which a surgeon removes some or all of the urinary bladder. The bladder stores urine before you pass it from your body.

Near often, doctors perform bladder removal surgery to treat invasive bladder cancer. Doctors sometimes perform cystectomy for benign disorders affecting the bladder and urinary system.

Your surgeon will choose one of several methods, or surgical approaches, to remove the bladder. Afterwards removing some or all of the bladder, your doctor performs reconstructive surgery. Reconstruction creates a new way to store and remove urine from your body.

Procedure Details

What should I expect from cystectomy?

Your surgeon may remove part of your bladder (partial cystectomy) or the unabridged float (radical cystectomy).

Partial cystectomy: Only a part of the bladder is removed. Ordinarily, nearby lymph nodes are removed as well to determine whether whatsoever cancer has spread beyond the float. Lymph nodes are small bundles of tissue that filter your body's lymph fluid and produce allowed organization cells. The remaining float is repaired and stays in the body.
Radical cystectomy: Surgeons remove the unabridged bladder and nearby lymph nodes. In men, surgeons almost always cut the vas deferens and remove the prostate and seminal vesicles (parts of the male reproductive system). In women, doctors oftentimes also remove the uterus, fallopian tubes, ovaries, cervix and occasionally part of the vaginal wall.

Surgeons perform bladder removal surgery using one of two dissimilar surgical approaches:

Open cystectomy: Your surgeon accesses your bladder and the tissues around information technology with one long incision in your abdomen. The surgeon's and assistant's hands enter the body cavity to perform the operation.
Minimally invasive (laparoscopic or robotic) cystectomy: The abdomen is first insufflated with carbon dioxide to create working infinite for your surgeon. Very small incisions are fabricated so that long instruments tin exist inserted into the torso cavity to perform the operation. The surgeon's and assistant's hands practise not enter the body cavity. Laparoscopic cystectomy involves the surgeon and banana using these instruments directly. Robotic cystectomy involves attaching the instruments to a surgical robot then that the surgeon can control the instruments via a surgical console. The surgical robot enhances the operation by providing iii dimensional vision and increasing instrument dexterity.

If radical cystectomy is performed, your surgeon will reconstruct the urinary tract in one of three ways then that the urine you lot produce tin can be eliminated from your body. These methods include:

Ileal conduit: Your surgeon disconnects a short portion of your small intestine chosen the ileum. The ureters (tubes that bear urine from the kidney to the bladder) are attached to ane end of the ileum, while the other finish of the ileum is attached to an opening in the skin chosen a stoma. The stoma is normally located close to the umbilicus on the right side. A plastic apparatus (ostomy handbag) is placed over the stoma to collect urine.
Continent cutaneous diversion: Your surgeon creates a reservoir to shop urine from office of your pocket-size and large intestine. The ureters are attached to ane end of the reservoir, and the other end of the reservoir is connected to a small opening (stoma) in the skin of your abdomen. The reservoir stores urine and must be emptied periodically past inserting a small-scale drainage tube (catheter) into the stoma. No external pocketbook is necessary.
Neobladder: Your surgeon uses a long slice of small-scale intestine to create a reservoir to store urine. The ureters are attached to ane end of the reservoir, and the other terminate of the reservoir is connected to the urethra, the tube that carries urine out of your body. You empty your reservoir periodically by relaxing your pelvic muscles and tensing your abdominal muscles.

Risks / Benefits

What are the benefits of cystectomy?

Your physician uses bladder removal surgery to remove cancerous tissues. The chief benefit is that you have an improved chance of recovering from float cancer.

What are the risks of cystectomy?

Similar any major surgical procedure, bladder removal surgery poses some risks, including:

Bleeding
Blood clots
Infection
Organ damage
Reactions to anesthesia

You may besides accept changes in how you lot urinate later any bladder surgery. Your bladder is smaller after partial cystectomy, so you may need to get to the bathroom more than ofttimes. If y'all have a radical cystectomy, your ability to urinate depends on the type of reconstructive surgery yous take.

For some men, bladder removal surgery causes sexual side effects. Men may have difficulty getting and maintaining erections. Because doctors remove the seminal vesicles along with the bladder, men will no longer produce semen.

Women may also experience sexual side furnishings. While intercourse is still possible, it may cause discomfort if doctors remove role of the vagina. Some people accept nervus damage. This damage may limit a woman'due south power to get aroused and achieve orgasm.

Recovery and Outlook

What is the prognosis (outlook) for people who accept cystectomy?

Your recovery depends on the blazon of float removal surgery yous accept. Typically, patients who undergo a partial cystectomy will accept a shorter recovery catamenia compared with patients who undergo a radical cystectomy. Many patients will take poor appetite and abnormal bowel part (constipation, loose stools or both) immediately after radical cystectomy, and complete recovery may have several weeks to months.

When to Phone call the Doctor

When should I call my doctor?

After a cystectomy, contact your medico right away if you detect any of the following symptoms:

Signs of infection such as fever and shaking chills
Persistent nausea and vomiting
Heavy bleeding
Increasing redness, swelling, pain or discharge from the surgical site
Excessive pain that is not controlled with the medications that y'all were given
Inability to urinate or difficulty with draining urine from your diversion